Mobility Improvements Are Found in Older Veterans After 6 Months of Gerofit Regardless of Body Mass Index Classification

Veterans represent a unique population of older adults, as they are more likely to self-report a disability and be overweight or obese compared with the general population. We sought to compare changes in mobility function across the obesity spectrum in older veterans participating in 6 months of Gerofit, a clinical exercise program. A total of 270 veterans (mean age: 74 years) completed baseline, 3-, and 6-month mobility assessments and were divided post hoc into groups: normal weight, overweight, and obese. The mobility assessments included 10-m walk time, 6-min walk distance, 30-s chair stands, and 8-foot up-and-go time. No significant weight × time interactions were found for any measure. However, clinically significant improvements of 7–20% were found for all mobility measures from baseline to 3 months and maintained at 6 months (all ps < .05). Six months of participation in Gerofit, if enacted nationwide, appears to be one way to improve mobility in older veterans at high risk for disability, regardless of weight status.

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Co-morbidity and disorder-related distress and impairment in purging disorder

Psychological Medicine ◽

10.1017/s0033291707001390 ◽

2007 ◽

Vol 38 (10) ◽

pp. 1435-1442 ◽

Cited By ~ 30

Author(s):

P. K. Keel ◽

B. E. Wolfe ◽

J. A. Gravener ◽

D. C. Jimerson

Keyword(s):

Eating Disorder ◽

Normal Weight ◽

Self Report ◽

Axis Ii ◽

Clinical Interviews ◽

Diagnostic And Statistical Manual ◽

Purging Disorder ◽

Co Morbidity ◽

Axis I ◽

Clinically Significant

BackgroundRecent studies suggest that purging disorder (PD) may be a common eating disorder that is associated with clinically significant levels of distress and high levels of psychiatric co-morbidity. However, no study has established evidence of disorder-related impairment or whether distress is specifically related to PD rather than to co-morbid disorders.MethodThree groups of normal-weight women [non-eating disorder controls (n=38), with PD (n=24), and with bulimia nervosa (BN)-purging subtype (n=57)] completed structured clinical interviews and self-report assessments.ResultsBoth PD and BN were associated with significant co-morbidity and elevations on indicators of distress and impairment compared to controls. Compared to BN, PD was associated with lower rates of current and lifetime mood disorders but higher rates of current anxiety disorders. Elevated distress and impairment were maintained in PD and BN after controlling for Axis I and Axis II disorders.ConclusionsPD is associated with elevated distress and impairment and should be considered for inclusion as a provisional disorder in nosological schemes such as the Diagnostic and Statistical Manual to facilitate much-needed research on this clinically significant syndrome.

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SIX MONTHS OF GEROFIT RESULTS IN MOBILITY IMPROVEMENTS IN OLDER VETERANS REGARDLESS OF BMI CLASSIFICATION

Innovation in Aging ◽

10.1093/geroni/igz038.134 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S34-S34

Author(s):

Odessa Addison ◽

Jamie Giffuni ◽

Monica Serra ◽

Leslie Katzel

Keyword(s):

High Risk ◽

General Population ◽

Significant Interaction ◽

Mobility Limitations ◽

Walk Distance ◽

Mobility Function ◽

Clinically Significant ◽

Minute Walk Distance ◽

Weight Groups ◽

Minute Walk

Abstract Older Veterans represent a unique population at high risk for mobility limitations. They are also more likely to be overweight or obese when compared to the general population. We sought to compare changes in mobility function across the obesity spectrum in older Gerofit participants at six different sites. Two-hundred and seventy Veterans (mean age: 74 years) completed six-months of Gerofit participation and mobility assessments at baseline, three and six months. Our assessments included gait-speed, six-minute walk distance, 30-second chair stands, and the eight foot up and go. When comparing weight groups, we found no significant interaction of weight and time, however we found clinically significant (P<0.02) improvements of 7-20% across all mobility measures. Six-months of Gerofit participation appears to be one way to improve mobility function in older Veterans across the weight spectrum.

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Independent Associations of Organized Physical Activity and Weight Status with Children’s Cognitive Functioning: A Matched-Pairs Design

Pediatric Exercise Science ◽

10.1123/pes.2015-0044 ◽

2015 ◽

Vol 27 (4) ◽

pp. 477-487 ◽

Cited By ~ 11

Author(s):

Catherine L. Davis ◽

Joseph P. Tkacz ◽

Phillip D. Tomporowski ◽

Eduardo E. Bustamante

Keyword(s):

Physical Activity ◽

Cognitive Assessment ◽

Weight Status ◽

Normal Weight ◽

Assessment System ◽

Self Report ◽

Matched Pairs ◽

Cognitive Assessment System ◽

Type Design ◽

Design And Methods

Purpose:This study tested whether participation in organized physical activity (active vs. inactive) or weight status (normal weight vs. overweight or obese) independently relate to children’s cognition, using a matched-pairs design.Design and Methods:Normal weight, active children (8–11 yrs, 5th-75th percentile BMI) were recruited from extracurricular physical activity programs while normal weight inactive (5th-75th percentile BMI) and overweight inactive children (BMI ≥85th percentile) were recruited from local Augusta, Georgia area schools. Measures included the Cognitive Assessment System, anthropometrics, and parent- and self-report of physical activity. Paired t tests compared cognition scores between matched groups of normal weight active vs. normal weight inactive (N = 24 pairs), normal weight inactive vs. overweight inactive (N = 21 pairs), and normal weight active vs. overweight inactive children (N = 16 pairs). Children in each comparison were matched for race, gender, age, and socioeconomic status.Results:Normal weight active children had higher Planning (M± SD = 109 ± 11 vs. 100 ± 11, p = .011) and Attention scores (108 ± 11 vs. 100 ± 11, p = .013) than overweight inactive children. Normal weight inactive children had higher Attention scores than overweight inactive children (105 ± 13 vs. 93 ± 12, p = .008). When compared with normal weight inactive children, normal weight active children had higher Planning (113 ± 10 vs. 102 ± 13, p = .008) and marginally higher Attention scores (111 ± 11 vs. 104 ± 12, p = .06).Conclusion:Findings suggest independent associations of children’s weight status with selective attention, and physical activity with higher-order processes of executive function.

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Psychosocial health of adolescents in relation to underweight, overweight/obese status: the EU NET ADB survey

European Journal of Public Health ◽

10.1093/eurpub/ckaa189 ◽

2020 ◽

Author(s):

Georgia Drosopoulou ◽

Theodoros N Sergentanis ◽

Georgios Mastorakos ◽

Elpis Vlachopapadopoulou ◽

Stefanos Michalacos ◽

...

Keyword(s):

Weight Status ◽

Multiple Logistic Regression Analysis ◽

Psychosocial Health ◽

Normal Weight ◽

The Body ◽

Self Report ◽

Cross Sectional ◽

Sociodemographic Variables ◽

Positive Attitudes ◽

Body Weight Status

Abstract Background Both deviations from normal weight, namely, underweight and overweight/obese status, have been inversely associated with psychosocial health in adolescents. This study aimed to examine the relationship between psychosocial health and body mass index (BMI) among adolescents in five European countries, while assessing the effect of sociodemographic variables. Methods A cross-sectional school-based study of adolescents aged 14–17.9 years was conducted in the framework of the European Network for Adolescent Addictive Behavior survey. Self-reported questionnaires from Greece, Iceland, the Netherlands, Romania and Spain were used for the current analysis. Associations between Youth Self-Report (YSR) scales and BMI status were investigated by multiple logistic regression analysis. The effect of sociodemographic variables was also measured. Results Τhe sample consisted of 7005 adolescents aged 14–17.9 years. Borderline/clinical scores on some YSR scales were independently associated with overweight/obesity, specifically total problems (OR = 1.52, 95% CI: 1.18–1.96), internalizing ( OR = 1.48, 95% CI: 1.16–1.91), externalizing (OR = 1.36, 95% CI: 1.10–1.68), social (OR = 1.67, 95% CI: 1.19–2.35) and thought problems (OR = 1.62, 95% CI: 1.20–2.20). Among subscales, overweight/obesity specifically correlated with anxiety/depression (OR = 1.83, 95% CI: 1.33–2.51), withdrawal/depression (OR = 1.58, 95% CI: 1.02–2.48) and rule-breaking behavior (OR = 1.55, 95% CI: 1.15–2.08). Underweight was associated with problems on activities (OR = 1.31, 95% CI: 1.01–1.68) and withdrawal/depression (OR = 1.95, 95% CI: 1.27–3.01). Conclusions Lower levels of psychosocial health are associated with both deviations from normal weight. These findings suggest the need for health policies that target health habits and lifestyle, as well as positive attitudes towards the body image, with respect to the different psychosocial characteristics of each body weight status category.

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Perceptions of the Built Environment in Relation to Physical Activity and Weight Status in British Adolescents from Central England

ISRN Obesity ◽

10.5402/2012/903846 ◽

2012 ◽

Vol 2012 ◽

pp. 1-4 ◽

Cited By ~ 1

Author(s):

Michael J. Duncan ◽

Samantha Birch ◽

Lorayne Woodfield ◽

Yahya Al-Nakeeb

Keyword(s):

Physical Activity ◽

Young People ◽

Built Environment ◽

Weight Status ◽

Normal Weight ◽

Self Report ◽

Environmental Perceptions ◽

Obese Children ◽

Health Indices ◽

Unit Increase

The built environment may influence physical activity (PA) behaviour in young people. However, there is a dearth of data examining this issue in young people which considers weight status, physical activity, and environmental perceptions in the same analysis. Four hundred and five Year 10 pupils (223 boys, 182 girls, mean age years), from central England, completed self-report measures of PA and perceptions of the built environment. Additionally, body mass index (BMI) was determined from height and weight. PA (MET/Min week−1) was positively related to environmental perceptions () and negatively related to BMI (). PA was significantly greater in boys () and normal weight children compared to girls and overweight/obese children, respectively (). Perception of the built environment was significant as a covariate () with a one-unit increase on this measure associated with a 141 MET/Min week−1 increase in PA. This study, therefore, supports claims that the built environment, and perceptions of it, can have an impact on health indices.

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Pregravid body mass index is negatively associated with diet quality during pregnancy

Public Health Nutrition ◽

10.1017/s1368980007657991 ◽

2007 ◽

Vol 10 (9) ◽

pp. 920-926 ◽

Cited By ~ 93

Author(s):

Barbara A Laraia ◽

Lisa M Bodnar ◽

Anna Maria Siega-Riz

Keyword(s):

Body Mass Index ◽

Body Mass ◽

Diet Quality ◽

Weight Status ◽

Multinomial Logistic Regression ◽

Normal Weight ◽

Self Report ◽

Folate Intake ◽

Institute Of Medicine ◽

Logistic Regression Models

AbstractObjectiveTo investigate the association between pregravid weight status and diet quality.DesignInstitute of Medicine body mass index (BMI) cut-off points of < 19.8 kg m− 2 for underweight, 19.8–26.0 kg m− 2 for normal weight, >26.0–29.0 kg m− 2 for overweight and >29 kg m− 2 for obese were used to categorise women's weight status. Dietary information was obtained by self-report at 26–28 weeks' gestation using a modified Block food-frequency questionnaire. The Diet Quality Index for Pregnancy (DQI-P) included: servings of grains, vegetables and fruits, folate, iron and calcium intake, percentage calories from fat, and meal pattern score. Multinomial logistic regression models were used to estimate the association between weight status and tertiles of DQI-P controlling for potential individual confounders.SettingA clinical-based population recruited through four prenatal clinics in central North Carolina.SubjectsA total of 2394 women from the Pregnancy, Infection and Nutrition study were included in this analysis.ResultsEvidence of a dose–response relationship was found between BMI and inadequate servings of grains and vegetables, and iron and folate intake. Pregravid obesity was associated with 76% increased odds of falling into the lowest diet quality tertile compared with underweight women after controlling for potential confounders.ConclusionA modest association was found between pregravid weight status and diet quality. If corroborated, these findings suggest that overweight pregnant women should be targeted for nutrition counselling interventions aimed to improve diet quality.

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The Concurrent Validity of the 3-Day Physical Activity Recall in Australian Youth

Pediatric Exercise Science ◽

10.1123/pes.2014-0117 ◽

2015 ◽

Vol 27 (2) ◽

pp. 262-267 ◽

Cited By ~ 2

Author(s):

James Dollman ◽

Rebecca Stanley ◽

Andrew Wilson

Keyword(s):

Physical Activity ◽

Weight Status ◽

Vigorous Physical Activity ◽

Population Level ◽

Normal Weight ◽

Self Report ◽

Physical Activity Intensity ◽

Weight Category ◽

Activity Intensity ◽

Physical Activity Recall

Valid measurement of youth physical activity is important and self-report methods provide convenient assessments at the population level. There is evidence that the validity of physical activity self-report varies by weight category. The aim of this study was to assess the validity of the 3-Day Physical Activity Recall (3DPAR), separately between normal weight and overweight/obese Australian youth. Accelerometer-derived physical activity variables were compared with 3DPAR variables in 155 (77 females) 11- to 14-year-olds from Adelaide, South Australia. In the whole sample, validity coefficients for self-reported moderate and moderate to vigorous physical activity were modest (rs = 0.12-0.31) and similar across gender and weight status categories. Validity coefficients for self-reported vigorous physical activity were much stronger (rs = 0.59-0.73) among overweight/obese than among normal weight participants. The validity of the 3DPAR in this study was low in the whole sample but varied according to physical activity intensity and the weight status of the child. Specifically, the 3DPAR may be appropriate for describing vigorous intensity physical activity among overweight and obese youth.

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Emotional Eating in Adolescence: Effects of Emotion Regulation, Weight Status and Negative Body Image

Nutrients ◽

10.3390/nu13010079 ◽

2020 ◽

Vol 13 (1) ◽

pp. 79

Author(s):

Lenka H. Shriver ◽

Jessica M. Dollar ◽

Susan D. Calkins ◽

Susan P. Keane ◽

Lilly Shanahan ◽

...

Keyword(s):

Body Image ◽

Emotion Regulation ◽

Emotional Regulation ◽

Emotional Eating ◽

Weight Status ◽

Normal Weight ◽

Linear Regression Models ◽

Obesity Risk ◽

Negative Body Image ◽

Increased Risk

Emotional eating is associated with an increased risk of binge eating, eating in the absence of hunger and obesity risk. While previous studies with children and adolescents suggest that emotion regulation may be a key predictor of this dysregulated eating behavior, little is known about what other factors may be influencing the link between emotional regulation and emotional eating in adolescence. This multi-method longitudinal study (n = 138) utilized linear regression models to examine associations between childhood emotion regulation, adolescent weight status and negative body image, and emotional eating at age 17. Emotion regulation predicted adolescent emotional eating and this link was moderated by weight status (β = 1.19, p < 0.01) and negative body image (β = −0.34, p < 0.01). Higher engagement in emotional eating was predicted by lower emotional regulation scores among normal-weight teens (β = −0.46, p < 0.001) but not among overweight/obese teens (β = 0.32, p > 0.10). Higher scores on emotion regulation were significantly associated with lower emotional eating at high (β = −1.59, p < 0.001) and low (β = −1.00, p < 0.01) levels of negative body image. Engagement in emotional eating was predicted by higher negative body image among overweight/obese teens only (β = 0.70, p < 0.001). Our findings show that while better childhood emotion regulation skills are associated with lower emotional eating, weight status and negative body image influence this link and should be considered as important foci in future interventions that aim to reduce emotional eating in adolescence.

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Combining ecological momentary assessment, wrist-based eating detection, and dietary assessment to characterize dietary lapse: A multi-method study protocol

Digital Health ◽

10.1177/2055207620988212 ◽

2021 ◽

Vol 7 ◽

pp. 205520762098821

Author(s):

Stephanie P Goldstein ◽

Adam Hoover ◽

E Whitney Evans ◽

J Graham Thomas

Keyword(s):

Weight Loss ◽

Eating Behavior ◽

Ecological Momentary Assessment ◽

Structured Interview ◽

Self Report ◽

Significant Weight Loss ◽

Clinically Significant ◽

Ecological Momentary ◽

Momentary Assessment ◽

Lapse Behavior

Objectives Behavioral obesity treatment (BOT) produces clinically significant weight loss and health benefits for many individuals with overweight/obesity. Yet, many individuals in BOT do not achieve clinically significant weight loss and/or experience weight regain. Lapses (i.e., eating that deviates from the BOT prescribed diet) could explain poor outcomes, but the behavior is understudied because it can be difficult to assess. We propose to study lapses using a multi-method approach, which allows us to identify objectively-measured characteristics of lapse behavior (e.g., eating rate, duration), examine the association between lapse and weight change, and estimate nutrition composition of lapse. Method We are recruiting participants (n = 40) with overweight/obesity to enroll in a 24-week BOT. Participants complete biweekly 7-day ecological momentary assessment (EMA) to self-report on eating behavior, including dietary lapses. Participants continuously wear the wrist-worn ActiGraph Link to characterize eating behavior. Participants complete 24-hour dietary recalls via structured interview at 6-week intervals to measure the composition of all food and beverages consumed. Results While data collection for this trial is still ongoing, we present data from three pilot participants who completed EMA and wore the ActiGraph to illustrate the feasibility, benefits, and challenges of this work. Conclusion This protocol will be the first multi-method study of dietary lapses in BOT. Upon completion, this will be one of the largest published studies of passive eating detection and EMA-reported lapse. The integration of EMA and passive sensing to characterize eating provides contextually rich data that will ultimately inform a nuanced understanding of lapse behavior and enable novel interventions. Trial registration: Registered clinical trial NCT03739151; URL: https://clinicaltrials.gov/ct2/show/NCT03739151

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Delayed Romantic Experience: Association of Romantic Relationship and Weight Change Patterns over 7 Years among Taiwanese Adolescents

Youth & Society ◽

10.1177/0044118x211023517 ◽

2021 ◽

pp. 0044118X2110235

Author(s):

Jih-Cheng Yeh ◽

Duan-Rung Chen

Keyword(s):

High School Students ◽

Interpersonal Relationships ◽

Junior High School ◽

Weight Change ◽

Romantic Relationship ◽

Weight Status ◽

Normal Weight ◽

School Students ◽

Student Sample ◽

Weight Change Pattern

Stigmatization of overweight and obese individuals is common in interpersonal relationships. This study investigated longitudinal weight change patterns among Taiwanese adolescents and the relationship of weight change patterns with delayed romantic experience from late adolescence to young adulthood by using a representative panel survey. Individuals were divided into six weight change pattern categories according to changes in their body mass index. Two-stage stratified and clustered sampling was used to obtain a representative student sample, and 1,834 junior high school students were followed up over 7 years. Persistent obesity and a change from an underweight to a normal weight status over 7 years were independently associated with delayed romantic experience in both sexes. Moreover, females but not males who changed from an underweight or normal weight status to an overweight or obese status had increased odds of delayed romantic experience. Persistent obesity should be addressed early in life because it plays a crucial role in delayed romantic experience.

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